LulaRoost · Vehicle Safety Inspection

Vehicle Safety Inspection

Required before a vehicle's first LulaRoost trip and every year after

LulaRoost - LulaLou's Ltd Liability Co. · Dothan, Alabama

Alabama PSC Rule 770-X-12-.07 (TNC-7)

Form LR-VSI-1Rev. 10/2026Inspection no.

1 · Driver and vehicle

Driver's full name LulaRoost driver ID Driver's phone Model year Make Model Color License plate (state and number) VIN (17 characters) Odometer (miles)

2 · Inspection type

Before first trip Annual re-inspection

Every vehicle is inspected before its first LulaRoost trip and every year after. No vehicle is exempt. Model year 2016 or newer, and never more than 15 years old.

3 · 20-point inspection

#	Item	Pass	Fail
1	Foot brakes
2	Parking and emergency brakes
3	Steering mechanism
4	Windshield
5	Rear window and other glass
6	Windshield wipers
7	Headlights
8	Tail lights
9	Turn indicator lights
10	Brake lights
11	Front seat adjustment
12	Doors open, close and unlock
13	Horn
14	Speedometer
15	Bumpers
16	Muffler and exhaust system
17	Interior and exterior rearview mirrors
18	Seat belts and air bags, all seats
19	Tire condition and tread depth
20	Heat and air conditioning work

Defects found and repairs needed

Result PASS · all 20 items pass
FAIL · repair and re-inspect

4 · Certified mechanic

Inspecting mechanic's name

Certified by

ASE AATI

Certification no. Expires Supervising certified mechanic (if the inspector is not certified)

Certified by

ASE AATI

Certification no. Shop name Shop address Shop phone

I certify that I inspected this vehicle, or supervised its inspection, on the date below, and that the results on this form are accurate.

Mechanic's signature Inspection date Driver's signature Date

Reviewed by Date Added to driver file Keep until